Mail to:
Reservations
Boston Park Plaza Hotel
64 Arlington Street
Boston, MA 02116
Fax to: 617-423-1708

ARISIA '04 HOTEL REGISTRATION FORM

ALL REQUESTS MUST BE RECEIVED BY 4PM ON JANUARY 9, 2004
Please read all Hotel information before filling out this form.
By submitting information via this form you acknowledge that you understand and accept all rules, regulations, stipulations, limitations and other factors detailed on the Hotel Information Page and the Boston Park Plaza Hotel Reservation Policies.

Last Name                                                                                                     First Name (and middle initial)

Sharing with (please list first and last name of each occupant)


Street Address                                                              City                                                             State / Province   Postal / ZIP Code

() -         () -
Home Phone Number                    Work Phone Number                    Email Address

ROOM TYPE REQUEST (THIS IS ONLY A REQUEST, NOT A GUARANTEE)
Arisia will attempt to address your request by first blocking your first or second choice of room type in your first choice of room block; then, by your first or second choice of room type in your second choice of room block; then, by available rooms.

  Please select first choice Room Block:            Please select first choice Room Type:
Please select second choice Room Block:    Please select second choice Room Type:
Request cots (limit 2 per room, no cots in Main Single or Main Double)
If request of Double is not available, please add a cot to my room: (limit of 2 cots per room is still enforced)
Do you need a crib in your hotel room?       YES, I am making multiple reservations for multiple rooms, don't merge them!

     Arrival Date: (Check-in is after 4PM)
Departure Date: (Check-out is before 12:00 Noon)

Credit Card Type: Number: Expires: /
(reservation will not be guaranteed without a valid credit card number)

Signature (please enter your birthdate for electronically submitted forms)
Please fill out this form entirely, and then:
1) press the SUBMIT button to submit your reservation request electronicly; or
2) print and mail this form only to: Reservations, 64 Arlington Street, Boston, MA 02116; or
3) print and fax it to (617) 423-1708.
By requesting a reservation attendee agrees to conditions and limitations listed in Hotel Reservations Policies.